| NPI | 1801335542 |
|---|---|
| Doing Business As | STL OPTOMETRY |
| Entity Type | Organization |
| Authorized Contact | KELLY KAO President 408-396-7179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 13772) |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: CA 13772) |
| 152WS0006X Optometrist, Sports Vision (Licence: CA 13772) | |
| 152WV0400X Optometrist, Vision Therapy (Licence: CA 13772) | |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-02-14 |